09/06/2016 Health CareMINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 6, 2016
Special Meeting (County Health Care Plan)
Board of County Commissioners
Tuesday, September 6, 2016
Key Largo, Florida
A Special Meeting of the Monroe County Board of County Commissioners convened at 2:00
p.m. at the Murray E. Nelson Government & Cultural Center. Present and answering to roll call
were Commissioner Danny Kolhage, Commissioner Sylvia Murphy, Commissioner George
Neugent, Commissioner David Rice, and Mayor Heather Carruthers. Also present at the
meeting were Bob Shillinger, County Attorney; Roman Gastesi, County Administrator; Cheryl
Robertson, Deputy Clerk; County staff and members of the general public.
ADDITIONS, CORRECTIONS AND DELETIONS
Item A.1 Approval of Agenda.
There were no Additions, Corrections, or Deletions.
RESULT: APPROVED [UNANIMOUS] Agenda Item A.1
MOVER: George Neugent, Mayor Pro Tem/Commissioner District 2
SECONDER: Danny Kolhage, Commissioner District 1
AYES: Carruthers, Neugent, Kolhage, Murphy, Rice
EMPLOYEE SERVICES
Item B.1 Approval of FY17 /18 Voluntary Wellness Program, which includes:
- BIOMETRIC SCREENINGS:
Four hours of annual leave to Monroe County BOCC employees and participating
Constitutional Officer (Property Appraiser, Court Administration, and Land
Authority) employees who participate in the annual biometric screenings
performed at the health fair or visit their personal physician and complete the on-
line Personal Health Assessment.
- ANNUAL WELLNESS EXAM AND AGE APPROPRIATE OR DOCTOR
RECOMMENDED SCREENINGS:
$25 per month ($300 per year) health insurance premium discount to all (BOCC
and Constitutional Officer) employees if they visit their personal physician for an
annual wellness exam and obtain the required age appropriate or doctor
recommended screenings
AND
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MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 6, 2016
- GYM MEMBERSHIP REIMBURSEMENT PILOT PROGRAM:
Implements a new FY16/17 Gym Membership Reimbursement Pilot Program
whereby the County will reimburse up to $25 /month ($300 /year) for up to the first
500 employees who sign up for the program
Approval to continue the Voluntary Wellness Program that was previously
adopted on July 27, 2015. Awards Four Hours of Annual Leave to Monroe
County BOCC employees and participating Constitutional Officer employees who
participate in the annual health fair or visit their personal physician and complete
the required on -line Personal Health Assessment. Also includes all employees
covered by the County's health insurance to be eligible to obtain a $25 per month
health insurance premium discount if he /she visits their personal physician for an
annual wellness exam and obtains the required screenings based on age and
doctor recommendation.
Theresa Aguiar, Division Director of Employee Services, set the stage for Approval of FY
17/18 Voluntary Wellness Program. Discussion and Concerns by Commissioners regarding
the Gym Membership Reimbursement. Christine Hurley, Growth Management, provided a
little more background of what staff has done within the Wellness Program and elaborated on
the restricted funds aspect. Staff is proposing to offer this to the employees as a benefit. This
was based on a survey we did of all employees within the county, not including
constitutionals, where employees were looking for gym membership reimbursement. A
Motion was made by Commissioner Rice and seconded by Commissioner Kolhage to
approve the Biometric Screenings and the Annual Wellness Exam of the Wellness Program.
A Roll -Call was taken by the Clerk with the following results:
Commissioner Kolhage
Yes
Commissioner Murphy
Yes
Commissioner Neugent
Yes
Commissioner Rice
Yes
Mayor Carruthers
Yes
Motion Carried.
There was further discussion regarding the Gym Membership Reimbursement Pilot Program.
Sheriff Rick Ramsey, Monroe County Sheriff Office, addressed the Board concerning Gym
Membership for County Employees. At one time there was a problem for new members but
we do have the capacity for County Employees in all three of our locations (KW/MAR/PK);
they are welcome.
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MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 6, 2016
Christine Hurley, Growth Management, indicated if the Sheriff is willing to enroll new
members, then we will withdraw Phase 3 of the Wellness.
Public Speaker Kim Trullender representing Fraternal Order of Police addressed the Board
regarding Gym Membership.
No Motion needed; staff withdrew the Gym Membership Reimbursement Pilot Program
portion of the Wellness Program.
Item B.2 Presentation by Gallagher Benefit Services of Health Insurance Fund status and
discussion and direction to staff on recommended Health Insurance Plan changes
beginning January 1, 2017.
Glen Volk with Gallagher Benefit Services provided a presentation addressing the County
Health Care Plan. The current state of the plan and options for the Board to considered.
Staff is recommending the following Options:
- Increase Department Rate from $885 per month to $985 per month
- Benefit Changes (1 -7)
- Teledoc (8)
-Reset Dependent Contributions to 50% of Actuarial at Current Higher Costs (10)
-No Retiree Dependent Subsidy for Medicare Eligible Retirees (11)
- Active Employees pay $50/$75 for Employee Coverage (16)
-Set Premium for Retiree Only Coverage for Rule of 70 Retirees to Flat $200 (18)
- Spouses of Active Employee Pay 100% of Actuarial Rate if they have access to their own
Employer sponsored coverage but elect to stay on County plan (modified 13)
Discussion held by the Commissioners regarding the recommended options except for
Department Rate to be discussed at the Budget Hearing.
Sheriff Rick Ramsay representing the Monroe County Sheriff Office, Kim Trullender
representing Fraternal Order of Police, Roly Pina representing County Employees Teamsters,
Property Appraiser Scott Russell representing Monroe County Property Appraiser Office,
Joyce Griffin representing Monroe County Supervisor of Elections, Louis Latorre
representing Retirees, and Violet Montero representing Retirees (declined/withdraw her card
to speak) addressed the Board as public speakers.
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OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 6, 2016
Commissioner Kolhage's proposal is to make us whole relatively to the fund balance that we
started with last year (about $350,000.00 less than what Gallagher Benefit Service's original
proposal was). Staff is to come up with the best recommendations to reduce the needs by
$350,000.00 that would benefit our current active employees and retirees.
Roman Gastesi, County Administrator, re- phrased Commissioner Kolhage's motion. The
new current Fund Balance shortfall is 3.4 million dollars instead of 3.7 million. Staff's
direction is to look into this and provide their best recommendation to distribute the pay
correctly. The Reset of Dependent Contribution of 50% which is the $373,000.00 should be
adjusted and the Deductibles which is #1 of the benefit changes ($282,000.00) should be look
at as well as the specialist marital co -pay issues.
After discussion, staff was directed to come back on September 19, 2016 Monday in
Marathon at 10:00 am with a list of options for the distributions of the pay and we will debate
and decide what to do.
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MINUTES
OF THE MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
SEPTEMBER 6, 2016
being no further business, the meeting of the Board of County Commissioners
-AeRfsm
Mme Aide/Deputy Clerk
Ex- officio Clerk to the Monroe County, FL
Board of County Commissioners
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